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Medicina (Buenos Aires)
versión impresa ISSN 0025-7680versión On-line ISSN 1669-9106
Resumen
ZYLBERMAN, Marcelo et al. Bivalvular non bacterial thrombotic endocarditis associated with cancer and transesophageal echocardiography. Medicina (B. Aires) [online]. 2006, vol.66, n.3, pp.254-256. ISSN 0025-7680.
Non bacterial thrombotic endocarditis is the most frequent cause of ischemic stroke in cancer patients. Up to 9% of autopsies of cancer patients show non infectious valvular masses. However, bivalvular involvement is not frequently occurring in 9% of non bacterial thrombotic endocarditis. We report a patient with ovarian cancer who presented aphasia. The MRI was compatible with cerebral ischemia. The transthoracic echocardiogram was normal and a transesophageal echocardiogram showed vegetations in aortic and mitral valves. We emphasize the importance of suspecting non bacterial thrombotic endocarditis in patients with cancer and systemic embolism and the low frequency of bivalvular involvement.
Palabras clave : Non bacterial thrombotic endocarditis; Cancer; Transesophageal echocardiography.